Provider Demographics
NPI:1487794962
Name:LEDWITH, KATHERINE (DSW, MSW, LCSW)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:
Last Name:LEDWITH
Suffix:
Gender:F
Credentials:DSW, MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 S BROAD ST STE 1522
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19110-1026
Mailing Address - Country:US
Mailing Address - Phone:215-606-7674
Mailing Address - Fax:
Practice Address - Street 1:100 S BROAD ST STE 1522
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19110-1026
Practice Address - Country:US
Practice Address - Phone:215-606-7674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW124679104100000X
NJ44SL05361500104100000X
PACW0159791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker